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. • <br /> � gt�..J�(C�� . <br /> If above dces not apply;follow guide(ines below: <br /> 1. �ONTRACT PRICE *is 1.25%of contract price with a(Minimum Fe.e of$50.011) <br /> oa <br /> o'��cSbC7 x.0125$ �� <br /> (contract price) (mioimem sso.00) I <br /> 2. STATE SURCHARGE I <br /> x.0005 $ <br /> (contract price) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applications) $ 2.00 ' <br /> --�— <br /> 4. TOTAL PERMIT FEE(Add Lines 1-3 Above) S <br /> . *i <br /> CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged $'or the <br /> �ermitted work including materials,labor,profit,and other fix�costs. It is the amount to be c�arged <br /> tb the customer for the work done. If any material, equipment,labor or installations are furnis ed by <br /> �he owner,tenant or any other party,the reasonable market value of such items must be add to the <br /> ¢stimated cost or contract price for permit fee purposes. In the event that there is a dispute�on the <br /> pmount of the job cost, the City may request the submission of a signed copy of the actual c ntract. <br /> Tt�e undersigned hereby applies to the City for issuance of a Plumbing Permit, agrees � do all <br /> wqrk in strict accordance with the ordinances of the City and the regulations of the�State of <br /> Mnnnesota, and certifies that all statements made on this application aze complete, �rue and <br /> cqnect. � <br /> Applicant's Signature: Date: ��'�� �a <br /> a ,� �y._ v}$ � <br /> � - :�- <br /> �� ' . , I <br /> .�,��` <br /> ����:� .�::,�_ � <br /> i <br /> I <br /> I <br /> � <br /> I <br /> I <br /> i <br /> I <br /> � <br /> � <br /> � <br /> �I 3 <br />